Individual
MRS. STEPHANIE KATHERINE DADDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2002 MEDICAL PKWY STE 460, ANNAPOLIS, MD 21401-3263
(443) 481-4080
Mailing address
122 MERRIMACK WAY, ARNOLD, MD 21012-2579
(410) 903-6126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R234084
MD
363LF0000X
Family Nurse Practitioner
Primary
R234084
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752086
MEDICARE
MD
05
—
777729900
—
MD
Enumeration date
09/12/2018
Last updated
01/16/2019
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